JESSICA G CLEM (NPI# 1679919658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679919658 |
| Entity Type | Individual |
| Full Name | JESSICA G CLEM |
| Credential | M.D. |
| Practice Address |
100 Mcgregor St Manchester NH 03102-3730 |
| Practice Telephone | 6036536063 |
| Mailing Telephone | 6036536063 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
17750 | NH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 MCGREGOR ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194785402 | Ernest F. Beale | Pediatrics | Neonatology Services - Elliot Hospital, One Elliot Way, Manchester, NH 03103 | 2006-03-23 |
| 1528389780 | Elliot Professional Services | Pediatrics | 275 Mammoth Rd, Suite 1c, Manchester, NH 03109-4133 | 2010-06-22 |
| 1548495468 | Matthew William Ryzewski | Pediatrics | 1 Elliot Way, Nicu, Manchester, NH 03103-3502 | 2009-05-20 |
| 1720271224 | Amy D Mcbee | Pediatrics | 71 Haynes St, Neonatal Icu, Manchester, CT 06040-4131 | 2007-08-20 |
| 1770690372 | Malgorzata Bulanowski | Pediatrics | 1 Elliot Way, Neonatology Department, Manchester, NH 03103-3502 | 2006-08-23 |
| 1851353049 | Deborah A. Franzek | Pediatrics | 1 Elliot Way, Neonatology Services - Elliot Hospital, Manchester, NH 03103-3502 | 2006-04-04 |
| 1013976810 | Elliot Professional Services | Pediatrics | 1 Elliot Way, Neonatology Services, Manchester, NH 03103-3502 | 2006-03-21 |
| 1255314761 | Jorge Alba | Pediatrics | 71 Haynes St, Manchester, CT 06040-4131 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891962916 | Neetu Singh | Pediatrics | 1 Medical Center Dr, Dhmc Department of Neonatology, Lebanon, NH 03756-1000 | 2008-05-08 |
| 1972611911 | Gautham K Suresh | Pediatrics | 1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-1000 | 2006-08-29 |
| 1871600569 | George Alexiy Little | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-25 |
| 1497863948 | Robert A. Darnall Jr. | Pediatrics | 1 Medical Center Dr, Dhmc. Department of Pediatrics, Lebanon, NH 03756-1000 | 2006-08-25 |
| 1407963648 | William Horton Edwards | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-24 |
| 1164489423 | Steven Alan Ringer | Pediatrics | 1 Medical Center Dr, Dhmc/neonatology, Lebanon, NH 03756-1000 | 2006-04-28 |
| 1891750717 | Juliette Carr Madan | Pediatrics | 1 Medical Center Dr, Dhmc Division of Neonatology, Lebanon, NH 03756-1000 | 2006-04-20 |
| 1750379582 | James E Gray | Pediatrics | 1 Medical Center Dr, Dartmouth Hitchcock - Neonatology, Lebanon, NH 03756-1000 | 2005-10-06 |
| City | MANCHESTER |
| Zip Code | 03102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.